Background to this inspection
Updated
22 February 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector, a specialist advisor in nursing care and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Haughate House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Haughgate. House Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection the manager had submitted an application to register. We are currently assessing this application.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 6 people who live at the service and 7 relatives. We spoke with 4 staff members including the nurse, registered manager and the service development and regulation director. We reviewed 10 care records and a range of documents relating to the health and safety of the service, medicines and staff recruitment. We received feedback by email from 4 members of staff.
Updated
22 February 2023
About the service
Haughate House Nursing Home is a residential care home providing personal and nursing care for up to 42 people. The service provides support to older people. At the time of our inspection there were 27 people using the service. Haughgate House Nursing Home provides care in one adapted building.
People’s experience of using this service and what we found
People were happy living at Haughate House Nursing Home and spoke positively about the care they received and the running of the service.
We received mixed views from people and relatives whether there were enough staff to meet people’s needs. Most staff told us there were enough staff. During our inspection we observed that staff were visible in the service. The manager and the service development and regulation director told us they were actively recruiting new staff.
People were protected from avoidable harm because there was effective staff training and safeguarding policies in place. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff received appropriate training and support to enable them to carry out their role safely. They received regular supervision to help develop their skills and support them in their role.
People's needs were met in a personalised way. Staff knew the people they supported well and had a good understanding of their needs. People were supported to take part in a range of activities which took place inside and outside the service.
Effective and robust quality assurance systems had been developed and implemented to continually assess, monitor and improve the quality of care people received.
Throughout the inspection the management team showed a commitment to provide people with person centered, safe and effective care. They were open, transparent and responsive to our requests throughout the inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 20 December 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service and to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Haughgate House Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.